Credentialing Analyst - Full time

Foundation Medical Partners Inc; Nashua (NH); Presencial; USD 55.000 - 75.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, dental, vision coverage

Tuition reimbursement

403(b) Retirement plan

Descripción de la vacante

Foundation Medical Partners Inc. is hiring a Credentialing Analyst to support credentialing for 340+ providers. You will oversee onboarding, licensing, DEA, and payer enrollments, ensuring timely start dates and accurate credentialing data.

The role requires healthcare credentialing experience, strong attention to detail, and solid MS Office skills. CPCS is a plus, with hybrid teamwork across departments in Nashua, NH.

Formación

• Two years of healthcare office experience in credentialing or medical staff services preferred.
• CPCS designation is a strong plus and demonstrates credentialing expertise.
• Proficiency with Microsoft Word, Excel, and Outlook; ability to manage complex databases.

Responsabilidades

• Initiates and oversees the provider appointment and credentialing processes.
• Maintains licensing, DEA, and Board Certification expirations.
• Manages payer enrollment and provider data in credentialing systems; resolves enrollment issues.

Conocimientos

Credentialing experience

Microsoft Office

Attention to detail

Verbal and written communication

Prioritization

Educación

High School diploma or equivalent

CPCS designation (strong plus)

Herramientas

CAQH data entry

Credentialing software

Descripción del empleo

Come work at the best place to give and receive care!Job Description:Who We Are:Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners, and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.About the Job:The credentialing analyst position assists the manager in overseeing the credentials and enrollments for over 340 providers in Foundation Medical Partners and also assists the credentialing analyst at Southern NH Medical Center in onboarding new providers. This person also oversees the onboarding of new providers who will be providing services to Foundation Medical Partners. This position is vital to new providers starting on their anticipated start date to meet the clinical needs of the practice they are hired into. This allows the practice to maintain (if we are replacing a provider) or grow their patient access (if we are hiring an additional provider). The other vital component of this position is to get the provider enrolled with the payers our organization contracts with as soon as possible. This ensures our organization will be paid for the services they provide to our patients. With the robust activity of recruitment and the challenges of payer enrollments this position is essential in meeting our organization's goal of growing primary care, cardiovascular services, cancer care, digestive health, orthopedics, neurosciences and emergency/urgent care while also growing our financial strength.What You’ll Do:Initiates the Medical/Allied Health Professional Staff appointment application processOutlines licensing and DEA requirements for NH and MAVerifies education contact informationInitiates/Updates Professional Liability InsurancePrepares insurance applications for provider to complete and signCompletes/updates provider credentialing data in the universal Provider Data Source CAQHInitiates/maintains enrollment with insurance plansFollows up with insurance plan of provider effective dateUpdates insurance plans with provider/practice change of informationAssists the Business Office with resolving claim processing issues due to provider enrollmentData entry in the credentialing software system of all provider license, DEA and Board Certification expirationsRuns reports to notify provider and manager of expiring credentialsFollows up on all expiring credentials to ensure compliance with provider employment agreementResearches Federal, State and Local guidelines for licensing and maintaining credentialsHas exceptional attention to detailHas excellent verbal and written communication skillsHas the ability to prioritize tasks to meet strict deadlinesWho You Are:Experienced: You possess at least two (2) years of healthcare office experience specifically within a credentialing role (experience in a medical staff services department is preferred).Educated & Certified: You hold a High School diploma or equivalent. A Certified Provider Credentialing Specialist (CPCS) designation is a strong plus.Tech-Savvy: You are proficient with Microsoft Office Suite, particularly Word, Excel, and Outlook, with the ability to maintain complex databases.Detail-Oriented & Organized: You have exceptional time-management skills, a keen eye for detail, and the ability to multitask effectively under tight deadlines.Discreet: You possess a demonstrated ability to properly handle and protect highly confidential, sensitive information.Why You’ll Love Us:• Health, dental, prescription, and vision coverage for full-time & part-time employees• Short-term, long-term disability, life & pet insurance• Tuition reimbursement & Nursing Student Loan Paydown Program• 403(b) Retirement savings plans• Continuous earned time accrual & more!Work Shift:Days - Monday through Friday 8:00 am to 4:30 pmSolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.